Individual
MADELEINE OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
33 HENRY ST, BEACON, NY 12508-3006
(845) 202-7850
Mailing address
190 SOUTH RD, MILLBROOK, NY 12545-5528
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012744
NY
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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